Molluscum contagiosum sounds like a possibility. MC usually appears as shiny pink bumps, often with a dimple in the center. A hard white core can be expressed (but not liquid pus), followed by brisk bleeding. Misdiagnosis as genital warts is pretty common. (This can be especially confusing since many of the treatments for warts -- e.g., freezing, podophyllin, imiquimod [Aldara] -- are effective against both conditions.) The timing also is right. Sexually acquired MC usually shows up within a couple of months of exposure. incubation period usually is 1-2 months after exposure.
MC is most common in young children, but is fairly common in the genital area is adults. It is best described as sexually transmissible, but not always sexually transmitted. It is a completely benign infection, with no known complications. Treatment is easy, usually freezing with liquid nitrogen. Or, if there aren't too many lesions, simply popping them -- as you already have started to do -- cures the problem. New lesions usually stop showing up after a month or two. But it's very important to wash with soap and water after handling the lesions; they are easily spread to nearby skin.
That said, folliculitis (infected hair follicle) or just garden-variety pimples also are possible. Herpes sounds possible but unlikely.
To the specific questions:
1,2) Your description doesn't sound like herpes.
3) Warts don't "pop" and generally don't bleed briskly after trying to do so.
4) This doesn't sound like anything of great concern. Follow-up with your plan to return to your personal doctor. Mention molluscum contagiosum. If s/he doesn't know or is unfamiliar with MC as a genital infection, I suggest you decline additional treatment until the diagnosis is clear and ask for referral for another opinion. A dermatologist would be a good bet; or your local health department STD clinic, which undoubtedly has a lot of experience with MC as well as other genital infections.
Good luck-- HHH, MD
I should have added that it might not be possible for anyone to make an accurate diagnosis at this point, i.e. if the only 2 lesions you had have already been "popped". No matter what the original cause, at that point MC, herpes, warts, or folliculitis all would look pretty much the same. In that case, sit tight and see if new lesions appear -- then see a provider promptly, before popping or picking at them.
Thanks for your advice and follow up.
Sorry Dr. for this late follow up. But I did end up seeing my family doctor he said it might probably herpes because they have scabs, but i tried to tell him that they were bleeding badly before the scabs cemented on them. and by bleeding I said red blood! anyway he did another swab and let me go gave me some meds to take. Now, I think I would know if I had herpes, I have never experienced any herpes symptoms over the last year, so why now?. I feel like all the doctors here are giving me the worst case scenario.
Either that or I really had a false negative hsv blood test, herpes infection due to 1 unprotected sexual encounter, and 1 year before my first outbreak for herpes symptoms to appear, its almost like i am out of luck if that is all true! It's really frustrating. I did make a point to a see a dermatologist and probably won't because over the last couple of days (since my last post) the pimple like lesions have healed almost completely (first one is alittle pinkish with a bump still), However, I did notice a dimple in one of them. But I guess I'll have to wait for those swabs to get back to be sure.
Thanks again for your help. I wish there were more doctor's as dedicated as you and Dr. Hook in educating the masses. (especially the ones with severe anxiety lol)
I cannot make a specific diagnosis and cannot provide any more information than I already did. It sounds like your family doctor might be unfamiliar with MC as a genital infection in adults. The dermatologist will be able to advise you, however. But as I said, don't get your hopes up for a definitive answer, if all existing lesions have been expressed (and perhaps cured). In any case, you can expect the HSV tests to be negative.